학술논문
Diabetes Stigma and Psychosocial Outcomes in Adolescents and Young Adults: The SEARCH for Diabetes in Youth Study.
Document Type
Academic Journal
Author
Eitel KB; University of Washington, Department of Pediatrics, Seattle, WA.; Roberts AJ; University of Washington, Department of Pediatrics, Seattle, WA.; D'Agostino R Jr; Wake Forest University School of Medicine, Winston-Salem, NC.; Barrett CE; Centers for Disease Control and Prevention, Atlanta, GA.; Bell RA; University of North Carolina at Chapel Hill, Chapel Hill, NC.; Bellatorre A; University of Colorado Denver, Aurora, CO.; Cristello A; University of North Carolina at Chapel Hill, Chapel Hill, NC.; Dabelea D; University of Colorado Denver, Aurora, CO.; Dolan LM; University of Cincinnati College of Medicine, Cincinnati, OH.; Jensen ET; Wake Forest University School of Medicine, Winston-Salem, NC.; Liese AD; University of South Carolina, Columbia, SC.; Reynolds K; Kaiser Permanente Southern California, Pasadena, CA.; Marcovina SM; Medpace Reference Laboratories, Cincinnati, OH.; Pihoker C; University of Washington, Department of Pediatrics, Seattle, WA.
Source
Publisher: American Diabetes Association Country of Publication: United States NLM ID: 7805975 Publication Model: Print Cited Medium: Internet ISSN: 1935-5548 (Electronic) Linking ISSN: 01495992 NLM ISO Abbreviation: Diabetes Care Subsets: MEDLINE
Subject
Language
English
Abstract
Objective: To examine the association between diabetes stigma, socioeconomic status, psychosocial variables, and substance use in adolescents and young adults (AYAs) with type 1 or type 2 diabetes.
Research Design and Methods: This is a cross-sectional analysis of AYAs from the SEARCH for Diabetes in Youth study who completed a survey on diabetes-related stigma, generating a total diabetes stigma score. Using multivariable modeling, stratified by diabetes type, we examined the relationship of diabetes stigma with variables of interest.
Results: Of the 1,608 AYAs who completed the diabetes-related stigma survey, 78% had type 1 diabetes, and the mean age was 21.7 years. Higher diabetes stigma scores were associated with food insecurity (P = 0.001), disordered eating (P < 0.0001), depressive symptoms (P < 0.0001), and decreased health-related (P < 0.0001) and diabetes-specific quality of life (P < 0.0001).
Conclusions: Diabetes stigma is associated with food insecurity, disordered eating, and lower psychosocial well-being.
(© 2024 by the American Diabetes Association.)
Research Design and Methods: This is a cross-sectional analysis of AYAs from the SEARCH for Diabetes in Youth study who completed a survey on diabetes-related stigma, generating a total diabetes stigma score. Using multivariable modeling, stratified by diabetes type, we examined the relationship of diabetes stigma with variables of interest.
Results: Of the 1,608 AYAs who completed the diabetes-related stigma survey, 78% had type 1 diabetes, and the mean age was 21.7 years. Higher diabetes stigma scores were associated with food insecurity (P = 0.001), disordered eating (P < 0.0001), depressive symptoms (P < 0.0001), and decreased health-related (P < 0.0001) and diabetes-specific quality of life (P < 0.0001).
Conclusions: Diabetes stigma is associated with food insecurity, disordered eating, and lower psychosocial well-being.
(© 2024 by the American Diabetes Association.)